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General NPI Number Information
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NPI Number | 1821147414
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Entity Type | Individual
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Provider Name | THOMAS A. LOVINGGOOD D.D.S. M.S.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3010 S STATE ROUTE 291 SUITE R
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City | INDEPENDENCE
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State | MO
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Zip | 64057-2676
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Country | US
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Telephone | 816-373-2227
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Fax | 816-373-3046
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Provider Business Mailing Address
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Address Line | 210 NW HEMLOCK ST
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City | LEES SUMMIT
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State | MO
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Zip | 64064-1444
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Country | US
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Telephone | 816-478-6610
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Fax | 816-478-6615
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 12918
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 5516
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License Number State | KS
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